Order Form for
Personalized Scrabble

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Please fill in the lines below with up to seven letters. Indicate spaces between letters with a slash mark. Lines not filled in will be filled with K,J,X,Z, or up to two Blanks.

___ ___ ___ ___ ___ ___ ___

Name__________________________________
Mailing Address__________________________

______________________________________
______________________________________
Telephone or Email________________________


Mats:

Outer Mat: 9016 Julep

Inner Mat: Please choose one

___9032 Parisian Blue (double letter score)
___9029 Bright Pink (double word score)
___5817 Liberty Blue (triple letter score)
___5869 Tomato (triple word score)
___Other outer:___________Inner:______________

Total:

One Personalized Scrabble ........................$25.00
Frame ....................................................._______
Glass* ($2.75)........................................._______
Oklahoma residents add 7.75% sales tax.........._______
Shipping ($4.00 outside OKC area).........._______
Total enclosed......_______

*mandatory with purchase of frame

_____Check or money order enclosed

____Visa ____Master Card ____American Express

Name as it appears
on credit card_____________________________

______ ______ ______ ______ expiration_____

Frames:

Choose one if desired


___Natural wood $33.00
___Black wood $33.00
___Flat black metal $12.50
___Shiny black metal $12.50

To order, print this page and mail to:

Doc Savage Studio
707 Littler Place
Edmond OK 73034

Please allow six weeks for delivery. Payment is not deposited until the project is finished.